Nutritional Assessment

Question 1

What can vitamin D be an indicator of?

Answer 1

Inflammation

Question 2

What are the signs/symptoms of Vit D deficiency?

Answer 2

Weakness

Depression

Question 3

What are the genes/enzymes that need to be functioning, in order to convert folic acid to 5-methyltetrahydrofolate?

Answer 3

MTHFR

MTHFD1

Question 4

What are the vitamins needed to convert folic acid to 5-methyltetrahydrofolate?

Answer 4

B2
B3
B6
B12
Vit C

Question 5

Methylmalonic acid and succinate are markers of what deficiency?

Answer 5

Adenosylcobalamin

Question 6

Elevated RBC folate or serum folate could be a sign of what?

Answer 6

Methylcobalamin deficiency

Question 7

Elevated NO may be a sign to use what to reduce those levels?

Answer 7

Hydroxocobalamin

Question 8

What vitamin can become deficient with anesthesia?

Answer 8

B12

Question 9

What is the most active form of folate?

Answer 9

Methylfolate

Question 10

What is the enzyme that produces folate?

Answer 10

MTHFR enzyme

Question 11

What happens where there is too much methylfolate?

Answer 11

Methyl trapping

Question 12

Having too much methylfolate without adequate B12 may cause what to happen?

Answer 12

Blocking of methionine cycle, leading to increased homocysteine levels

Question 13

What is the form of omega 3 FAs found in flaxseed oil? What does this need to be converted to?

Answer 13

ALA converted to EPA

Question 14

What percent of fecal mass is bacterial?

Answer 14

50%

Question 15

Intestinal microflora weight how much?

Answer 15

3 lbs

Question 16

What is the benefit of taking probiotics with an antibiotic?

Answer 16

Reduce resistance

Question 17

What are the supplements needed to offset the effect of screen time on eyes?

Answer 17

Lutein and zeaxanthin

Question 18

What are the supposed benefits of CoQ10?

Answer 18

Cardiac health

Question 19

What is the effect of berberine?

Answer 19

Phytochemical to control blood sugar

Question 20

What is the effect of large amounts of melatonin?

Answer 20

Keeps awake

Question 21

Do fat burners work?

Answer 21

No

Question 22

What are direct methods?

Answer 22

Direct = deal with individual and measure objective criteria

Question 23

What are indirect methods?

Answer 23

Use community health indices that reflects nutritional influences

Question 24

What are the ABCDs of nutrition assessment?

Answer 24

Anthropometric measurements
Biochemical data
Clinical
Dietary

Question 25

What is anthropometric data?

Answer 25

Height Weight BMI body fat %

Question 26

What are better measurements than BMI?

Answer 26

Waist circumference | Body fat %

Question 27

Pale nails can be indicative of what?

Answer 27

Anemia CHF Liver disease Malnutrition

Question 28

Fingernails that are white with darker rims = ?

Answer 28

Hepatitis

Question 29

Rippled nails = ?

Answer 29

Psoriasis or inflammatory arthritis

Question 30

Hair that is easily pluckable or corkscrewed =?

Answer 30

Protein or vit C deficient

Question 31

Follicular skin/hyperkeratosis = what deficiency?

Answer 31

Vit A and C

Question 32

Red scaly skin on the face = what deficiency?

Answer 32

B2

Question 33

Pale, fissured tongue = what deficiency?

Answer 33

Fe

Question 34

Cracked lips = what deficiency?

Answer 34

Vit B2 or dehydration

Question 35

Swollen/slick tongue = what deficiency?

Answer 35

Riboflavin, niacin, folate, B12, Fe, protein

Question 36

Bleeding gums or gum disease = what deficiency?

Answer 36

CoQ10 Vit C Folate

Question 37

Cold hands may indicate what deficiency?

Answer 37

Mg B12 Fe Niacin

Question 38

Extremity edema = what deficiency?

Answer 38

Protein

Question 39

Paresthesias or numbness in a stocking glove distribution = what deficiency?

Answer 39

Thiamin (beriberi)

Question 40

Tetany = what deficiency?

Answer 40

Ca | Mg

Question 41

Cognitive/sensory deficits = what deficiency?

Answer 41

thiamin niacin pyridoxine

Question 42

Muscle wasting= what deficiency?

Answer 42

Protein

Question 43

bone tenderness = what deficiency?

Answer 43

Vit D

Question 44

arthralgias = what deficiency?

Answer 44

Vit C

Question 45

Diarrhea = what deficiency?

Answer 45

Protein Niacin Folate Vit B12

Question 46

Diarrhea and dysgeusia = what deficiency?

Answer 46

Zn

Question 47

Dysphagia = what deficiency?

Answer 47

Fe

Question 48

Floating poop = ?

Answer 48

Fat malabsorption

Question 49

Type 1 - 7 poops = ?

Answer 49

1 = separate hard lumps 4 = regular 7 =diarrhea

Question 50

What are the symptoms of extreme dehydration in infants?

Answer 50

Extreme fussiness or sleepiness

Question 51

What are biometrics?

Answer 51

Lab values/mineral analysis | % body fat

Question 52

What are the advantages biochemical methods of nutrition assessment?

Answer 52

Accurate and precise | Early detection

Question 53

What are the disadvantages biochemical methods of nutrition assessment?

Answer 53

Expensive Time consuming Needs trained personnel

Question 54

What are prealbumin and albumin useful in measuring?

Answer 54

Overall prognosis and severity of illness, but not accurate markers of protein in critical status

Question 55

High albumin levels are likely due to what?

Answer 55

Dehydration

Question 56

What are the vitamins that we have biochemical markers for?

Answer 56

``` D B12 Folate A C B6 Thiamine ```

Question 57

What are the three minerals that we have markers for?

Answer 57

Ca Zn Fe

Question 58

Why can B12 levels appear normal?

Answer 58

May not be in the cells

Question 59

Small lunulas are indicative of what?

Answer 59

Poor B12 absorption

Question 60

High or low in inflammation: albumin

Answer 60

Low

Question 61

High or low in inflammation: pre-albumin

Answer 61

Low

Question 62

High or low in inflammation: ferritin

Answer 62

increased

Question 63

High or low in inflammation: CRP

Answer 63

elevated

Question 64

High or low in inflammation: plasminogen activator

Answer 64

Elevated

Question 65

High or low in inflammation: D-dimer

Answer 65

High

Question 66

High or low in inflammation: ESR

Answer 66

high

Question 67

White specks in a fingernail = what deficiency?

Answer 67

Zn

Question 68

What is the hydrogen breath test used for?

Answer 68

Dysbiosis | Lactose intolerance